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Hemodialysis Access Part A — Temporary

  • Robert Uldall

Abstract

Since hemodialysis was first practiced clinically as a substitute for absent renal function, access to the circulation has always been a demanding and, at times, frustrating exercise. In the beginning hemodialysis was only performed for relatively short periods for acute reversible renal failure in young people with good blood vessels. Almost any method of access was adequate for this purpose. Shaldon’s semi-stiff tapered catheter with a single cylindrical lumen inserted over a guide-wire by the Seldinger technique into the femoral vein provided one blood flow pathway for removal or return of blood (1). A second conduit could be provided by means of a second catheter in the same or a different vein and these catheters could be left in place for two or three treatments. Evidence for the crucial importance and desirability of this technique is apparent in the fact that it remains widely practiced today when no safe alternative can be found. Because of its superficial position, just medial to the femoral artery in the groin, the femoral vein is easy to cannulate, even by inexperienced operators.

Keywords

Arteriovenous Fistula Subclavian Vein Artif Organ Exit Site Hemodialysis Catheter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Shaldon S, Chiandussi L, Higgs SB: Hemodialysis by percutaneous catheterisation of the femoral artery and vein with regional heparinisation. Lancet 2: 857, 1961CrossRefGoogle Scholar
  2. 2.
    Quinton WE, Dillard DH, Scribner BH: Cannulation of blood vessels for prolonged hemodialysis. Trans Am Soc Artif Intern Organs 6: 104, 1960PubMedGoogle Scholar
  3. 3.
    Brescia MJ, Cimino JE, Appel K, Hurwich K: Chronic hemodialysis using venipuncture and surgically created arteriovenous fistula. N Eng J Med 275: 1089, 1966CrossRefGoogle Scholar
  4. 4.
    Sabanayagam P, Schwartz AB, Soricelli PR, Lyons P, Chinitz JA: A comparative study of 402 bovine heterografts and 225 reinforced expanded PTFE grafts as AVF in the ESRD patient. Trans Am Soc Artif Intern Organs 26: 88, 1980PubMedGoogle Scholar
  5. 5.
    Bell PRF, Caiman KC: Vascular access in dialysis. in Replacement of Renal function by Dialysis, 1st ed, edited by Drukker W, Parsons F, Maher JF, The Hague, Martinus Nijhoff Medical Division, 1978, p 182Google Scholar
  6. 6.
    Simonian SJ, Stuart FP, Hill JL, Mahajan SK: Conversion of a Scribner shunt to an arteriovenous fistula fcir chronic dialysis. Surgery 82: 448, 1977PubMedGoogle Scholar
  7. 7.
    Paganini EP, Nakamoto S: Continuous slow ultrafiltration in oliguric acute renal failure. Trans Am Soc Artif Intern Organs 26: 201, 1980PubMedGoogle Scholar
  8. 8.
    Kramer P, Boehler J, Kehr A, Gröne HJ, Schrader J, Matthaei D, Scheler F: Intensive care potential of continuous arteriovenous hemofiltration. Trans Am Soc Artif Intern Organs 28: 28, 1982PubMedGoogle Scholar
  9. 9.
    Tarn P, Huraib SO, Mahan B, LeBlanc D, Lunski C, Holtzer C, Doyle CA, Vas SI, Uldall PR: Slow continuous hemodialysis for the management of complicated oliguric acute renal failure in an intensive care unit. Clin Nephrol 23: 79, 1988Google Scholar
  10. 10.
    Erben J, Kvasnicka J, Bastecky J et al.: Experience with routine use of subclavian cannulation in hemodialysis. Proc Eur Dial Transplant Assoc 6: 59, 1969Google Scholar
  11. 11.
    Uldall PR, Dyck RF, Woods F, Merchant N, Martin GS, Cardella CJ, Sutton D, deVeber G: A subclavian cannula for temporary vascular access for hemodialysis and plasmaphoresis. Dial Transplant 8: 963, 1979Google Scholar
  12. 12.
    DeCubber A, DeWolf C, Lameire N: Single-needle hemodialysis with the double headpump via the subclavian vein. Dial Transplant 7: 1261, 1978Google Scholar
  13. 13.
    Fine A, Churchill D, Gault H: Fatality due to subclavian dialysis catheter. Nephron 29: 99, 1981PubMedGoogle Scholar
  14. 14.
    Merrill RH, Raab SO: Dialysis catheter-induced pericardial tamponade. Arch Intern Med 142: 1751, 1982PubMedCrossRefGoogle Scholar
  15. 15.
    Barton BR, Hermann G, Weil R: Cardiothoracic emergencies associated with subclavian hemodialysis catheters. JAMA 250: 2660, 1983PubMedCrossRefGoogle Scholar
  16. 16.
    Tapson JS, Uldall PR: Fatal hemothorax caused by a subclavian hemodialysis catheter. Arch Intern Med 144: 1685, 1984PubMedCrossRefGoogle Scholar
  17. 17.
    El Nachef MW, Rashad E, Ricanati ES: Occlusion of the subclavian vein: a complication of indwelling subclavian venous catheters for hemodialysis. Clin Nephrol 24: 42, 1985PubMedGoogle Scholar
  18. 18.
    Vanherwegem JL, Yassine T, Goldman M et al.: Subclavian vein thrombosis: a frequent complication of subclavian vein cannulation for hemodialysis. Clin Nephrol 26: 235, 1986Google Scholar
  19. 19.
    Glaze RC, McDougall ML, Weigmann TB: Thrombotic arm edema as a complication of subclavian vein catheterisation and arteriovenous fistula formation for hemodialysis. Am J Kidney Dis 7: 439, 1986PubMedGoogle Scholar
  20. 20.
    Barrett N, Spencer S, McIvor J, Brown EA: Subclavian stenosis: a major complication of subclavian dialysis catheters. Nephrol Dial Transplant 3: 423, 1988PubMedGoogle Scholar
  21. 21.
    Clark DD, Albina JE, Chezan JA: Subclavian vein stenosis and thrombosis: a potential serious complication in chronic hemodialysis patients. Am J Kidney Dis 15: 256, 1990Google Scholar
  22. 22.
    Brady HR, Fitzcharles B, Goldberg H, Huraib S, Simons M, Uldall PR: Diagnosis and management of subclavian vein thrombosis occurring in association with subclavian cannulation for hemodialysis. Blood Purif 7: 210, 1987Google Scholar
  23. 23.
    Spinowitz BS, Galler M, Golden RA et al.: Subclavian vein stenosis as a complication of subclavian catheterisation for hemodialysis. Arch Int Med 147: 305, 1987CrossRefGoogle Scholar
  24. 24.
    Cimochowski GE, Worley E, Rutherford WE, Sartain J, Blondin J, Harter H: Superiority of the internal jugular over the subclavian access for temporary dialysis. Nephron 54: 154, 1990PubMedCrossRefGoogle Scholar
  25. 25.
    Tapson JS, Uldall PR: Avoiding deaths from subclavian cannulation for hemodialysis. Int J Artif Organs 6: 227, 1983PubMedGoogle Scholar
  26. 26.
    Uldall PR: Subclavian cannulation for hemodialysis: the present state of the art. Artif Organs 6: 73, 1982PubMedGoogle Scholar
  27. 27.
    Ward ME, Lee PF: Pneumothorax and contralateral hydrothorax following subclavian vein catheterisation. Br J Anaesth 45: 227, 1973PubMedCrossRefGoogle Scholar
  28. 28.
    Holt S, Kirkham N, Myerscough E: Haemothorax after subclavian vein cannulation. Thorax 32: 101, 1977PubMedGoogle Scholar
  29. 29.
    Gröne HJ, Kramer P: Puncture and long-term cannulation of the femoral artery and vein in adults. in Arteriovenous Hemofiltration. A Kidney Replacement Therapy for the Intensive Care Unit, edited by Kramer P, Berlin, Springer-Verlag, 1985Google Scholar
  30. 30.
    Bellomo R, Parkin G, Love J, Boyce N: A prospective comparative study of continuous arteriovenous hemodiafiltration and continuous venovenous hemodiafiltration in critically ill patients. Am J Kidney Dis 21: 400, 1993PubMedGoogle Scholar
  31. 31.
    Storck M, Haiti WH, Zimmerer E, Inthorn D: Comparison of pump-driven and spontaneous continuous hemofiltration in post-operative acute renal failure. Lancet 337: 452, 1991PubMedCrossRefGoogle Scholar
  32. 32.
    Lazarus JM: Complications in haemodialysis: An overview. Kidney Int 18: 783, 1980CrossRefGoogle Scholar
  33. 33.
    Farrington K, Brown AL, Mathias MT, Karim MS, Cattell WR, Baker LRI: Simultaneous creation of peritoneal and vascular access in patients commencing continuous ambulatory peritoneal dialysis. Nephron 59: 323, 1991PubMedGoogle Scholar
  34. 34.
    Kelber J, Delmez JA, Windus DW: Factors affecting delivery of high efficiency dialysis using temporary vascular access. Am J Kidney Dis 22: 243, 1993Google Scholar
  35. 35.
    Fuller TJ, Mahoney JJ, Juncos LI et al: Arteriovenous fistula after femoral vein catheterisation. JAMA 236: 2943, 1976PubMedCrossRefGoogle Scholar
  36. 36.
    Ahearn DJ, Maher JF: Heart failure as a complication of haemodialysis arteriovenous fistula. Ann Intern Med 77: 201, 1972PubMedGoogle Scholar
  37. 37.
    Maki DG, Ringer M, Alvarado CJ: Prospective randomised trial of povidone-iodine, alcohol and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet 338: 339, 1991PubMedCrossRefGoogle Scholar
  38. 38.
    Keohane PP, Jones BJM, Attril H et al.: Effect of catheter tunnelling and a nutrition nurse on catheter sepsis during parenteral nutrition. A controlled trial. Lancet 2: 1388, 1983PubMedCrossRefGoogle Scholar
  39. 39.
    Dahlberg PJ, Yutuc WR, Newcomer KL: Subclavian hemodialysis catheter infections. Am J Kidney Dis 7: 421, 1986PubMedGoogle Scholar
  40. 40.
    Levin A, Mason AJ, Jindal KK, Fong IW, Goldstein MB: Prevention of hemodialysis subclavian vein catheter infections by topical povidone-iodine. Kidney Int 40: 934, 1991PubMedCrossRefGoogle Scholar
  41. 41.
    Maki DG, Wheeler S, Stolz SM: Study of a novel highly permeable polyurethane dressing for IV catheters. Presented at the Hospital Infection Society International Meeting, London, 1990Google Scholar
  42. 42.
    Maki DG, Cobb L, Garman JK et al.: An attachable silver-impregnated cuff for prevention of infection with central venous catheters: a prospective randomized multi-center trial. Am J Med 85: 307, 1988PubMedCrossRefGoogle Scholar
  43. 43.
    Blake PG, Uldall PR: Cardiac perforation by a guide wire during subclavian catheter insertion. Int J Artif Organs 2: 111, 1989Google Scholar
  44. 44.
    Hansbrough JFG, Narrod JA, Stiegman V: Cardiac perforation and tamponade from a malpositioned subclavian dialysis catheter. Nephron 32: 363, 1982PubMedCrossRefGoogle Scholar
  45. 45.
    Wijeyesinghe ECR, Pei Y, Fenton S, Uldall PR: Right atrial ball thrombus as a complication of subclavian catheter insertion for hemodialysis. Int J Artif Organs 10: 102, 1987PubMedGoogle Scholar
  46. 46.
    Mattox KL, Fisher RG: Persistent hemothorax secondary to malposition of a subclavian venous catheter. J Trauma 17: 387, 1977PubMedGoogle Scholar
  47. 47.
    Karnauchow PN: Cardiac tamponade from central vein catheterisation. Can Med Assoc J 135: 1145, 1986Google Scholar
  48. 48.
    Gebert E: Non-operative treatment of cardiac tamponade. Crit Care Med 14: 519, 1986PubMedCrossRefGoogle Scholar
  49. 49.
    Vanholder R, Hoenich N, Ringoir S: Morbidity and mortality of central venous catheter hemodialysis: a review of 10 years experience. Nephron 47: 274, 1987PubMedGoogle Scholar
  50. 50.
    Vanholder R, Lameire N, Verbanck J, van Rattinghe R, Kunnen M, Ringoir S: Complications of subclavian catheter hemodialysis: a 5 year prospective study in 257 consecutive patients. Int J Artif Organs 5: 297, 1982PubMedGoogle Scholar
  51. 51.
    Uldall PR, Woods F, Merchant N, Crichton E, Carter H: A double-lumen subclavian cannula (DLSC) for temporary hemodialysis access. Trans Am Soc Artif Intern Organs 26: 93, 1980PubMedGoogle Scholar
  52. 52.
    Tapson JS, Hoenich NA, Wilkinson R: Dual lumen sub-clavian catheters for haemodialysis. Int J Artif Organs 8: 195, 1985PubMedGoogle Scholar
  53. 53.
    Schillinger F, Schillinger D, Montagnac R, Milcent T: Post catheterisation vein stenosis in haemodialysis: comparative angiographic study of 50 subclavian and 50 internal jugular accesses. Nephrol Dial Transplant 6: 722, 1991PubMedGoogle Scholar
  54. 54.
    Currier CB Jr, Widder S, Ali A, Kunsisto E, Sidawy A: Surgical management of subclavian and axillary vein thrombosis in patients with a functioning arteriovenous fistula. Surgery 100: 25, 1986PubMedGoogle Scholar
  55. 55.
    Glanz S, Gordon DH, Lipkowitz GS, Brett KMH, Hong J, Sclafani SJS: Axillary and subclavian vein stenosis: percutaneous angioplasty. Radiology 168: 371, 1988PubMedGoogle Scholar
  56. 56.
    Uchida BT, Putnam JS, Rosch J: Modifications of Gianturco expandable wire stents. Am J Radiol 150: 1185, 1988Google Scholar
  57. 57.
    Campistol JM, Almiral J, Rello J, Revert L: Jugular vein cannulation for hemodialysis access. Nephron 50: 391, 1988PubMedGoogle Scholar
  58. 58.
    Shusterman NH, Kloss K, Mullen JL: Successful use of double-lumen silicone rubber catheters for permanent hemodialysis access. Kidney Int 35: 887, 1989PubMedCrossRefGoogle Scholar
  59. 59.
    Blake PG, Huraib S, Wu G, Uldall PR: The use of duallumen jugular venous catheters as definitive long-term access for hemodialysis. Int J Artif Organs 13: 26, 1990PubMedGoogle Scholar
  60. 60.
    McDowell DE, Pillai L, Goldstein RM: A simplified technique for percutaneous insertion of permanent vascular access catheters in patients requiring chronic hemodialysis. J Vasc Surg 7: 574, 1988PubMedCrossRefGoogle Scholar
  61. 61.
    Canaud B, Saumier F, Beraud JJ, Joyeux H, Mion C: La cannulation jugulaire interne avec deux cathéters silastic. Une nouvelle méthode d’acces vasculaire pour hemodialyse. Néphrologie 7: 57, 1986PubMedGoogle Scholar
  62. 62.
    Uldall PR, DeBruyne M, Besley M, McMillan J, Simons M, Francoeur R: A new vascular access catheter for hemodialysis. Am J Kidney Dis 21: 270, 1993PubMedGoogle Scholar
  63. 63.
    Carlisle EJF, Blake PG, McCarthy F, Vas S, Uldall PR: Septicemia in long-term jugular hemodialysis catheters; eradicating infection by changing the catheter over a guidewire. Int J Artif Organs 14: 150, 1991PubMedGoogle Scholar
  64. 64.
    Denys BG, Uretsky BF, Reddy PS, Ruffner RJ, Sandhu JS, Breishlatt WM: An ultrasound method for safe and rapid central venous access. N Eng J Med 324: 566, 1991Google Scholar
  65. 65.
    Hawkins IF, Page RM: Redirection of malpositioned central venous catheters. Am J Radiol 140: 393, 1983Google Scholar
  66. 66.
    Mustata S, Less P, Uldall PR: Further experience with a percutaneously inserted double-lumen silastic catheter for end-stage renal failure patients with refractory vascular access problems. Am Soc Artif Intern Organs, San Francisco, 1994Google Scholar
  67. 67.
    Agraharkar M, Mendelssohn D, Zevallos G, Uldall PR: Does percutaneous jugular vein cannulation for hemodialysis access cause jugular vein damage? Am Soc Artif Organs, San Francisco, 1994Google Scholar
  68. 68.
    Uldall PR, Besley ME, Thomas A, Salter S, Nuezca LA, Vas M: Maintaining the patency of double-lumen silastic jugular catheters for haemodialysis. Int J Artif Organs 16: 37, 1993PubMedGoogle Scholar
  69. 69.
    Besley ME, Thomas A, Salter S, Sang YY, Vas M, Uldall PR: Control of oral anticoagulation in patients using long-term internal jugular catheters for haemodialysis access. Int J Artif Organs 15: 277, 1992PubMedGoogle Scholar
  70. 70.
    Landefeld CS, Beyth RJ: Anticoagulant-related bleeding: clinical epidemiology, prediction and prevention. Am J Med 95: 315, 1993PubMedCrossRefGoogle Scholar
  71. 71.
    Khanna S, Sniderman K, Simons M, Besley ME, Uldall PR: Superior vena cava stenosis associated with hemodialysis catheters. Am J Kidney Dis 21: 278, 1993PubMedGoogle Scholar
  72. 72.
    Hagen PT, Scholz DG, Edwards WD: Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clinic Proc 59: 17, 1984Google Scholar
  73. 73.
    Rushforth JA, Hoy CM, Kite P, Puntis JWL: Rapid diagnosis of central venous catheter sepsis. Lancet 342: 402, 1993PubMedCrossRefGoogle Scholar
  74. 74.
    Pithie A, Soutar JS, Pennington CR: Catheter tip position in central vein thrombosis. J Parenteral Enteral Nutr 12: 613, 1988Google Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Robert Uldall
    • 1
  1. 1.Wellesley HospitalTorontoCanada

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